Amy Maxwell, MD | |
1801 N Oregon St, Radiology Dept, El Paso, TX 79902-3524 | |
(915) 521-1200 | |
Not Available |
Full Name | Amy Maxwell |
---|---|
Gender | Female |
Speciality | Radiology - Body Imaging |
Location | 1801 N Oregon St, El Paso, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801821145 | NPI | - | NPPES |
127552 | Other | TX | SUPERIOR SSI |
23404752 | Medicaid | TX | |
MDM3317TX | Other | TX | WORKERS COMP |
192080301 | Medicaid | TX | |
85616Y | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085B0100X | Radiology - Body Imaging | M3317 (Texas) | Primary |
Entity Name | Radadvantage A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20081103000272 |
Mailing Address | Practice Location Address |
---|---|
Amy Maxwell, MD Po Box 277711, Atlanta, GA 30384-7711 Ph: () - | Amy Maxwell, MD 1801 N Oregon St, Radiology Dept, El Paso, TX 79902-3524 Ph: (915) 521-1200 |
Teresa Anne Reed, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1400 George Dieter Dr, Ste. 170, El Paso, TX 79936 Phone: 915-921-7855 Fax: 915-921-7866 | |
Sylvester D Phifer, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 10301 Gateway Blvd W, El Paso, TX 79925 Phone: 915-535-9275 | |
Dr. Melhem R. Ghaleb, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4815 Alameda Ave, El Paso, TX 79905 Phone: 915-521-7620 Fax: 915-521-7842 | |
Zagum Bhatti, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1302 N Stanton St, El Paso, TX 79902 Phone: 915-248-1277 Fax: 915-845-9072 | |
William M Boushka, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 6065 Montana Ave, Bldg A Ste 6, El Paso, TX 79925 Phone: 915-881-1900 Fax: 915-771-9345 | |
Dr. Douglas K Woo, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5400 Suncrest Dr, Suite B3, El Paso, TX 79912 Phone: 915-581-2130 Fax: 915-581-6940 | |
Dr. Richard Cohen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2001 N Oregon St, El Paso, TX 79902 Phone: 915-833-6631 Fax: 915-833-6618 |